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Individual

BROOKE J BECKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
831 ROYAL GORGE BLVD STE 217, CANON CITY, CO 81212-6709
(719) 221-8451
(719) 452-3752
Mailing address
1231 BALDWIN AVE, CANON CITY, CO 81212-4927
(605) 941-6660

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07111330
SD
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD0000646
CO
1041C0700X
Clinical Social Worker
2989
SD
1041C0700X
Clinical Social Worker
Primary
CSW.09923604
CO

Other

Enumeration date
05/14/2013
Last updated
06/26/2020
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